Individual provider Active NPI

Felix Scott Fraustro, NP

  • Family Nurse Practitioner
  • Sanford, FL
National Provider Identifier
1720033962
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3015132 Issued in FL
Practice address
2400 State Road 415
Sanford, FL 32771-6012
Phone
(407) 322-8645
Fax
(407) 322-8725
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP3015132 FL Primary

Addresses

Primary practice location

2400 State Road 415
Sanford, FL 32771-6012

Mailing address

2400 State Road 415
Sanford, FL 32771-6012
Phone (407) 322-8645

Other identifiers 3

IdentifierTypeStateIssuer
000112900MedicaidFL
01222690OtherFLAMERIGROUP
290900OtherWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041021000735 FL Practitioner - Nurse Practitioner 0941261093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Emergency Physicians Kang and Associates MD LLCGroup PAC ID 0143113878, 318 clinicians

Practice addresses (Care Compare)

601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600

Hospital & facility affiliations

  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP3015132FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Emergency Physicians Kang and Associates MD LLC CurrentSince Jul 1, 2015 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Jan 8, 2025 Accepting new patients
Adventist Health System /Sunbelt, Inc. Family CurrentSince Jan 8, 2025 Accepting new patients
Adventist Health System Sunbelt, Inc. Family Current Accepting new patients
Central Florida Family Health Center, Inc. Past Accepting new patients
Central Florida Family Health Center Inc. Past Accepting new patients
Central Florida Family Health Center, Inc. Past Accepting new patients
Mid-Florida Urological Associates PA Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1720033962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 STATE ROAD 415",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716012",
            "telephone_number": "407-322-8645",
            "fax_number": "407-322-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 STATE ROAD 415",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716012",
            "telephone_number": "407-322-8645",
            "fax_number": "407-322-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAUSTRO",
        "first_name": "FELIX",
        "middle_name": "SCOTT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3015132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000112900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01222690",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "290900",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.